Texas Administrative Code


TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21TRADE PRACTICES
SUBCHAPTER TSUBMISSION OF CLEAN CLAIMS

Rules

§21.2801 Purpose and Scope
§21.2802 Definitions
§21.2803 Elements of a Clean Claim
§21.2804 Requests for Additional Information from Treating Preferred Provider
§21.2805 Requests for Additional Information from Other Sources
§21.2806 Claims Filing Deadline
§21.2807 Effect of Filing a Clean Claim
§21.2808 Effect of Filing Deficient Claim
§21.2809 Audit Procedures
§21.2810 Date of Claim Payment
§21.2811 Disclosure of Processing Procedures
§21.2812 Denial of Clean Claim Prohibited for Change of Address
§21.2813 Requirements Applicable to Other Contracting Entities
§21.2814 Electronic Adjudication of Prescription Benefits
§21.2815 Failure to Meet the Statutory Claims Payment Period
§21.2816 Date of Receipt
§21.2817 Terms of Contracts
§21.2818 Overpayment of Claims
§21.2819 Catastrophic Event
§21.2820 Identification Cards
§21.2821 Reporting Requirements
§21.2822 Administrative Penalties
§21.2823 Applicability to Certain Noncontracting Physicians and Providers
§21.2824 Applicability
§21.2825 Severability
§21.2826 Waiver


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